NPIMap

Individual provider Active NPI

Samuel W Stewart, D.O.

  • Family Medicine Physician
  • Scarbro, WV
National Provider Identifier
1336348796
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2363 Issued in WV
Practice address
908 Scarbro Road
Scarbro, WV 25917-0337
Phone
(304) 469-2905
Fax
(304) 465-3180
NPI assigned
Jul 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2363 WV
Hospitalist Physician 208M00000X 2363 WV
Family Medicine Physician 207Q00000X 2363 WV Primary

Addresses

Primary practice location

908 Scarbro Road
Scarbro, WV 25917-0337

Mailing address

P.O. Box 337
908 Scarbro Road
Scarbro, WV 25917-0337
Phone (304) 469-2905

Other practice location 1

100 Hoylman Dr
Gassaway, WV 26624-9318
Phone (304) 364-5156

Other practice location 2

400 Fairview Heights Rd
Summersville, WV 26651-9308
Phone (304) 872-8432

Other identifiers 1

IdentifierTypeStateIssuer
3810015743MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090604000472 WV Practitioner - Family PracticePractitioner - Emergency Medicine 7113077686 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
West Virginia School of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Virginia Health Care Cooperative Inc 61 clinicians

Practice addresses (Care Compare)

400 Fairview Heighs Rd
Summersville, WV 26651-9308
Phone (304) 872-8402

Hospital & facility affiliations

  • Summersville Regional Medical Center Hospital, Summersville, WV, CCN 511322
  • Webster Memorial Hospital Hospital, Webster Springs, WV, CCN 511301

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Braxton County Memorial Hospital CurrentSince Oct 1, 2021 Accepting new patients
Greenbrier Emergency Services, Inc. Emergency Medicine CurrentSince Aug 15, 2012 Accepting new patients
Oak Hill Emergency Physicians, LLC Emergency Medicine CurrentSince Jan 4, 2015 Accepting new patients
West Virginia Health Care Cooperative Inc Current Accepting new patients
Braxton County Memorial Hospital CurrentSince Oct 1, 2021 Accepting new patients
West Virginia Health Care Cooperative Inc Hospitalist CurrentSince Oct 1, 2021 Accepting new patients
New River Health Association, Inc. Past Accepting new patients

Locations

100 Hoylman Dr
Gassaway, WV 26624
Phone (304) 364-1046

430 Main St W
Oak Hill, WV 25901
Phone (276) 325-0678

400 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 872-2891

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

Interoperability endpoints

  • Direct secure messaging: sstewart305550@direct.wvuhsdirect.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1336348796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 337",
            "address_2": "908 SCARBRO ROAD",
            "city": "SCARBRO",
            "state": "WV",
            "postal_code": "259170337",
            "telephone_number": "304-469-2905",
            "fax_number": "304-465-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 SCARBRO ROAD",
            "city": "SCARBRO",
            "state": "WV",
            "postal_code": "259170337",
            "telephone_number": "304-469-2905",
            "fax_number": "304-465-3180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Hoylman Dr",
            "address_purpose": "LOCATION",
            "city": "Gassaway",
            "state": "WV",
            "postal_code": "266249318",
            "country_code": "US",
            "telephone_number": "304-364-5156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Fairview Heights Rd",
            "address_purpose": "LOCATION",
            "city": "Summersville",
            "state": "WV",
            "postal_code": "266519308",
            "country_code": "US",
            "telephone_number": "304-872-8432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "SAMUEL",
        "middle_name": "W",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "2363",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WV",
            "license": "2363",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810015743",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarbro, WV

Sources for this page

Verify at the official NPI Registry.